# POUILLOUX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brighton Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760902209
- **Authorized official:** PHILIPPE POUILLOUX PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (310) 714-4459

## Contact information

- **Practice address:** 1125 S BEVERLY DR STE 500, LOS ANGELES, CA 90035-1183
- **Practice address phone:** (310) 714-4459
- **Mailing address:** 1125 S BEVERLY DR STE 500, LOS ANGELES, CA 90035-1183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 06/26/2017
- **Last updated:** 06/26/2017